Organization Active NPI

Welcome Home Family Chiropractic & Wellness Center, PLLC

  • Chiropractor
  • St Petersburg, FL
National Provider Identifier
1316455009
Registry record updated May 2, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH11533 Issued in FL
Legal business name
WELCOME HOME FAMILY CHIROPRACTIC & WELLNESS CENTER, PLLC
Practice address
3773 Central Ave
St Petersburg, FL 33713-8338
Phone
(727) 317-5738
Fax
(214) 206-9930
NPI assigned
Jan 16, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 2, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Joubert Desulme, D.C.
Title
President
Phone
(727) 317-5738

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X CH11533 FL Primary

Addresses

Primary practice location

3773 Central Ave
St Petersburg, FL 33713-8338

Mailing address

3773 Central Ave
St Petersburg, FL 33713-8338
Phone (727) 317-5738

Other practice location 1

3775 Central Ave Ste B
St Petersburg, FL 33713-8338
Phone (727) 317-5738

National Provider Directory

National Provider Directory

Locations

3621 Central Ave
Ste B
Saint Petersburg, FL 33713
Phone (727) 317-5738

3773 Central Ave
St Petersburg, FL 33713
Phone (727) 317-5738

3775 Central Ave
Ste B
St Petersburg, FL 33713
Phone (214) 349-9432

7757 W Waters Ave
Tampa, FL 33615
Phone (727) 317-5738

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1516060800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1556755200000",
    "number": "1316455009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3773 CENTRAL AVE",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337138338",
            "telephone_number": "727-317-5738"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3773 CENTRAL AVE",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337138338",
            "telephone_number": "727-317-5738",
            "fax_number": "214-206-9930"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3775 Central Ave Ste B",
            "address_purpose": "LOCATION",
            "city": "St Petersburg",
            "state": "FL",
            "postal_code": "337138338",
            "country_code": "US",
            "telephone_number": "727-317-5738",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "WELCOME HOME FAMILY CHIROPRACTIC & WELLNESS CENTER, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-16",
        "last_updated": "2019-05-02",
        "status": "A",
        "authorized_official_last_name": "DESULME",
        "authorized_official_first_name": "JOUBERT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "727-317-5738",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH11533",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Petersburg, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.